NURS 120 Exam 2 – Actual NCLEX
Questions & Answers (WCU) 100%
Guarantee Pass
1. A patient with a chronic cough has a bronchoscopy. Which action would be
provided after the procedure?
A. Administer pain medication immediately
B. Keep NPO until gag reflex returns
C. Encourage oral fluids right away
D. Place patient in supine position
Answer: B. Keep NPO until gag reflex returns
2. The nurse will monitor a client receiving enteral feeding for which
complications? (Select all that apply)
A. Aspiration
B. Infiltration
C. Diarrhea
D. Blood infections
E. Electrolyte imbalance
Answer: A, B, C, E
3. A nurse counseling older adults about nutritional needs should include
which information? (Select all that apply)
A. Older adults are more prone to dehydration than younger adults
B. Older adults need the same amount of most vitamins and minerals as
younger adults
C. Many older men and women need calcium supplementation
,D. Older adults need more calories than when they were younger
E. Older adults should consume a diet low in carbohydrates
Answer: A, B, C
4. A nurse caring for a client receiving enteral feedings via NG tube should
complete which actions prior to administering feedings? (Select all that apply)
A. Auscultate bowel sounds
B. Assist the client to an upright position
C. Test the pH of gastric aspirate
D. Warm the formula to body temperature
E. Discard any residual gastric contents
Answer: A, B, C
5. When providing tracheostomy care, which actions should the nurse take?
(Select all that apply)
A. Apply oxygen source loosely if SpO2 decreases during procedure
B. Use surgical asepsis to remove and clean the inner cannula
C. Clean outer cannula surfaces in circular motion from stoma site outward
D. Replace the tracheostomy ties with new ties
E. Cut a slit in gauze squares to place beneath the tube holder
Answer: B, C
6. Before inserting an NG tube for gastric decompression, which actions
should the nurse perform? (Select all that apply)
A. Review a signal the client can use if feeling distress
B. Lay a towel across the client's chest
C. Administer oral pain medications
D. Obtain a Dobhoff tube for insertion
,E. Have a petroleum-based lubricant available
Answer: A, B
7. A perioperative nurse is preparing a patient for surgery for a ruptured
spleen from an automobile crash. What type of surgery is this?
A. Minor, diagnostic
B. Minor, elective
C. Major, emergency
D. Major, palliative
Answer: C. Major, emergency
8. A 70-year-old male says, "I am so frightened — what if I don't wake up?"
What is the nurse's best response?
A. "You have a wonderful doctor."
B. "Let's talk about how you are feeling."
C. "Everyone wakes up from surgery!"
D. "Don't worry, you will be just fine."
Answer: B. "Let's talk about how you are feeling."
9. A 72-year-old woman scheduled for hip replacement takes several regular
medications. Which drug category might create a surgical risk?
A. Anticoagulants
B. Antacids
C. Laxatives
D. Sedatives
Answer: A. Anticoagulants
10. A client develops acute renal failure and resulting metabolic acidosis. The
nurse should recognize the respiratory system compensates by:
A. Hypoventilation
, B. Hyperventilation
C. Apnea
D. Bradypnea
Answer: B. Hyperventilation
11. A client is receiving enteral nutrition. What should the nurse do to prevent
aspiration?
A. Keep the head of the bed flat
B. Place client in Trendelenburg position
C. Elevate the head of the bed to 40 degrees
D. Turn client to the left lateral position
Answer: C. Elevate the head of the bed to 40 degrees
12. What information should be included on an informed consent form for
surgery? (Select all that apply)
A. The option of nontreatment
B. The underlying disease process and its natural course
C. Notice that once signed, consent cannot be withdrawn
D. Explanation of guaranteed outcome
E. Name and qualifications of the provider
F. Explanation of risks and benefits
Answer: A, B, E, F
13. When attempting to aspirate tube feeding contents, the nurse notes the
tube is clogged. What is the next action?
A. Use warm water or air and gentle pressure to remove the clog
B. Use a stylet to unclog the tube
Questions & Answers (WCU) 100%
Guarantee Pass
1. A patient with a chronic cough has a bronchoscopy. Which action would be
provided after the procedure?
A. Administer pain medication immediately
B. Keep NPO until gag reflex returns
C. Encourage oral fluids right away
D. Place patient in supine position
Answer: B. Keep NPO until gag reflex returns
2. The nurse will monitor a client receiving enteral feeding for which
complications? (Select all that apply)
A. Aspiration
B. Infiltration
C. Diarrhea
D. Blood infections
E. Electrolyte imbalance
Answer: A, B, C, E
3. A nurse counseling older adults about nutritional needs should include
which information? (Select all that apply)
A. Older adults are more prone to dehydration than younger adults
B. Older adults need the same amount of most vitamins and minerals as
younger adults
C. Many older men and women need calcium supplementation
,D. Older adults need more calories than when they were younger
E. Older adults should consume a diet low in carbohydrates
Answer: A, B, C
4. A nurse caring for a client receiving enteral feedings via NG tube should
complete which actions prior to administering feedings? (Select all that apply)
A. Auscultate bowel sounds
B. Assist the client to an upright position
C. Test the pH of gastric aspirate
D. Warm the formula to body temperature
E. Discard any residual gastric contents
Answer: A, B, C
5. When providing tracheostomy care, which actions should the nurse take?
(Select all that apply)
A. Apply oxygen source loosely if SpO2 decreases during procedure
B. Use surgical asepsis to remove and clean the inner cannula
C. Clean outer cannula surfaces in circular motion from stoma site outward
D. Replace the tracheostomy ties with new ties
E. Cut a slit in gauze squares to place beneath the tube holder
Answer: B, C
6. Before inserting an NG tube for gastric decompression, which actions
should the nurse perform? (Select all that apply)
A. Review a signal the client can use if feeling distress
B. Lay a towel across the client's chest
C. Administer oral pain medications
D. Obtain a Dobhoff tube for insertion
,E. Have a petroleum-based lubricant available
Answer: A, B
7. A perioperative nurse is preparing a patient for surgery for a ruptured
spleen from an automobile crash. What type of surgery is this?
A. Minor, diagnostic
B. Minor, elective
C. Major, emergency
D. Major, palliative
Answer: C. Major, emergency
8. A 70-year-old male says, "I am so frightened — what if I don't wake up?"
What is the nurse's best response?
A. "You have a wonderful doctor."
B. "Let's talk about how you are feeling."
C. "Everyone wakes up from surgery!"
D. "Don't worry, you will be just fine."
Answer: B. "Let's talk about how you are feeling."
9. A 72-year-old woman scheduled for hip replacement takes several regular
medications. Which drug category might create a surgical risk?
A. Anticoagulants
B. Antacids
C. Laxatives
D. Sedatives
Answer: A. Anticoagulants
10. A client develops acute renal failure and resulting metabolic acidosis. The
nurse should recognize the respiratory system compensates by:
A. Hypoventilation
, B. Hyperventilation
C. Apnea
D. Bradypnea
Answer: B. Hyperventilation
11. A client is receiving enteral nutrition. What should the nurse do to prevent
aspiration?
A. Keep the head of the bed flat
B. Place client in Trendelenburg position
C. Elevate the head of the bed to 40 degrees
D. Turn client to the left lateral position
Answer: C. Elevate the head of the bed to 40 degrees
12. What information should be included on an informed consent form for
surgery? (Select all that apply)
A. The option of nontreatment
B. The underlying disease process and its natural course
C. Notice that once signed, consent cannot be withdrawn
D. Explanation of guaranteed outcome
E. Name and qualifications of the provider
F. Explanation of risks and benefits
Answer: A, B, E, F
13. When attempting to aspirate tube feeding contents, the nurse notes the
tube is clogged. What is the next action?
A. Use warm water or air and gentle pressure to remove the clog
B. Use a stylet to unclog the tube
